| NPI | 1750102315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 24-394945) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-11-29 |